Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 1965-07-22
- Stop
- 1965-07-22
The parties
- Patient
- patient Devin Linnea Lowe
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2f0eca3c-3bd2-7c3b-4a68-2ef98635f446